Angelique Danesha York, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114254 Issued in CA

Practice address

145 S Fairfax Ave Ste 200
Los Angeles, CA 90036-2186

Phone

(323) 968-6404

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways to Mending Feelings Psychotherapy Training Program Inc

  dba Pathways to Mending Feelings

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
  • NPI 1881386092

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1417678152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S FAIRFAX AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362186",
            "telephone_number": "323-968-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S FAIRFAX AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362186",
            "telephone_number": "323-968-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Response Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958155254",
            "country_code": "US",
            "telephone_number": "323-968-6404",
            "fax_number": "916-678-4138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5670 Wilshire Blvd Fl 18",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900365679",
            "country_code": "US",
            "telephone_number": "916-696-1156",
            "fax_number": "323-648-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "ANGELIQUE",
        "middle_name": "DANESHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York Family Medical Clinic Inc
• York Glen Medical Clinic, Inc
• York Healthcare & Wellness Centre, LP
• York Medical Group
• York Professional Pharmacy
• Kristie L. York, LCSW
• Mikal Michelle York, BSN, RN
• Dorla Laverne Yorke
• Marlyn Alexis Yorke, ASW
• Lauren Elizabeth Yormack, CPD, NCS

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.